Lawrence Bruce Godwin, M.AC. L.AC.
Individual provider Active NPI Acupuncturist · Bigfork, MT
NPI 1750021150 · NPPES record last updated Apr 1, 2022
Key facts
- NPI
- 1750021150
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acupuncturist 171100000X
- License
- MED-ACU-LIC-37875 (MT)
- Practice address
- 8000 Hwy 35, Suite 4
Bigfork, MT 59911 - Phone
- (571) 239-1728
- NPI assigned
- Apr 1, 2022
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MED-ACU-LIC-37875 | MT | MD | Acupuncturist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist |
171100000X | MED-ACU-LIC-37875 | MT | Yes |
Addresses
Primary practice location
8000 Hwy 35, Suite 4
Bigfork, MT 59911
Mailing address
PO Box 1548
Bigfork, MT 59911-1548
Phone (571) 239-1727
Other providers in Bigfork, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 1, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.